Doctor Name: | MILLICENT A SIMENSON |
NPI Number: | 1396044673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | L 042926-7 |
Business Practice Address: | 115 6th St Ne Cass Lake, MN - 566333428 |
Business Phone Number: | 2183354500 |
Business Fax Number: | 2183354513 |
Mailing Address: | 115 6th St Ne, CASS LAKE |
State: | MN |
Postal Code: | 566333428 |
Phone Number: | 2183354500 |
Fax Number: | 2183354513 |
NPI Enumeration Date: | 03/25/2011 |
NPI Last Update Date: | 03/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L 042926-7 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |